Question: Can you code for me , a Car Booking System page for my Website ( Make it similiar if not identical to my design )

Can you code for me, a Car Booking System page for my Website (Make it similiar if not identical to my design) it should be written in html and css with php for the places where the user inputs data so it goes into my database. (
The writing under location is "Include city with address" and under the pickup time is "Includes Calendar"

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